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Quit alcohol, dint seek medicines, fever, lack of sleep, indigestion - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Drug Abuse
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User :   Hello... My father quit alcohol on his own a month ago. he did not seek any medical intervention. He used to take say 2-3 pegs a day. We had no idea that medical assistance is very important in alcohol withdrawal. Probably, as aftereffects of giving up, he once had fever. He would feel scared of taking a bath. but has now overcome that. He would not feel like taking/drinking water. but has overcome that. however, he still feels lack of sleep during the night and has indigestion. please suggest what should be the appropriate steps to take to help him recover better.
User :   Hello
User :   Hello doctor
User :   were u able to read the text i sent earlier
Doctor :   Yes
Doctor :   Did he attempt to quit alcohol before
Doctor :   Did he quit before?
User :   well not really
Doctor :   ok
User :   or he just skipped taking alcohol for say a couple days
User :   not with a conscious decision of quitting it
Doctor :   When some people quit alcohol , they get withdrawal symptoms
User :   but this time it has been a conscious effort
User :   thats right
Doctor :   it happens in heavy alcohol drinkers
User :   ok
User :   just to add a few more things
User :   he visited a GP a few days back
User :   and shared his concerns with him
User :   the concern that he shared primarily was that he feels anxiety during the night
Doctor :   yes
User :   which is to the extent that he feels like rushing out of the house
User :   whatever the time maybe
Doctor :   The alcohol withdrawal symptoms may be mild or severe
Doctor :   Mild to moderate psychological symptoms: User :   right
Doctor :   Feeling of jumpiness or nervousness
Doctor :   Feeling of shakiness
Doctor :
Doctor :   sorry
User :   the doctore suggested that he take Diazepam 5mg
Doctor :   Yes
Doctor :   That is help helpful in withdrawal period
Doctor :   use that pill for 10 days and then stop
User :   he has not taken the medicine as somebody suggested that it may not help in the long run
User :   okie
Doctor :   If still he develps severe symptoms in spite of being on Diazepam then consult MD or go to ER
Doctor :   The severe symptoms include
Doctor :   A state of confusion and hallucinations (visual) -- known as delirium tremens
Doctor :   Agitation
User :   right
User :   ok
Doctor :   fever
Doctor :   Convulsions
Doctor :   "Black outs" -- when the person forgets what happened during the drinking episod
User :   ok
User :   ok..
User :   can these symptoms show up after such a long duration of giving up too
Doctor :   In summary, alcohol withdrawal symptoms may vary
User :   like i said, it has been a month that he has given up
Doctor :   use the Diazepam with prescription to smoothen the withdrawal process
User :   ok
Doctor :   if he quit one month ago he will not get severe symtoms
User :   okie
Doctor :   DT delirium trements , which are dangerous, happens within 5 days after quitting
User :   okie
Doctor :   so what ever the other symptoms he is experiencing also from withdrawl but not dangerous
User :   ok
Doctor :   I recommend physician consultation for blood pressure and heart check up
User :   okie
User :   the doctor that he had consulted had checked his blood pressure
User :   which was recorded as normal
Doctor :   Didok
User :   however he is not comfortable with how his liver might be functioning
Doctor :   Then get the liver enzymes
User :   ok
Doctor :   Get these labs : User :   what test would that be
Doctor :   CBC
Doctor :   BUN.
User :   ok
Doctor :   Creatinie
Doctor :   LFTs Liver Function Tests
Doctor :   LFts include AST, ALT, GGT, Bilirubin
Doctor :   These are enough
Doctor :   and Blood sugar
User :   sure
User :   what you referred to as liver enzymes
User :   are tests only right
User :   or would you recommend a liver tonic too
Doctor :   no
User :   what would that be then Sir
User :   they are LFTs only right
User :   the liver enzymes test
User :   sorry if I was confusing with my question
Doctor :   Yes
Doctor :   both are same tests
Doctor :   liver enzymes is same as LFTs
Doctor :   Just say Liver function tests
User :   ok
User :   right
Doctor :   he do not need any liver tonic
User :   okie
Doctor :   Did I answer your queries?
User :   Yes Doctor
User :   thanks a lot
User :   i feel better now about proceeding about helping him
User :   You've been a great help
User :   oh by the way
User :   just one more thing before i close the chat
User :   would it matter if he is on Diazepam and getting the tests done
Doctor :   Does not matter
User :   ok
User :   thanks Doctor
Doctor :  
Thank you
Doctor :   Bye
Doctor :   Take care
User :   i appreciate your help
User :   thanks and bye
Doctor :   You welcome
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